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The influence of ventilatory control on heart rate variability in children
Authors:Craig A Williams  Philippe Lopes
Abstract:The aim of this study was to determine the influence of breathing frequency and tidal volume on resting heart rate variability in children aged 9 years ( n = 29) and 16 years ( n = 19). Heart rate variability was measured in four conditions: (1) without the control of ventilation followed at random by (2) a fixed breathing frequency of 12 breaths· min -1 , (3) a breathing frequency of 12 breaths· min -1 but with a fixed tidal volume of 30% vital capacity and (4) a fixed breathing frequency of 6 breaths·min -1 and a tidal volume of 30% vital capacity. A total of 128 RR intervals (the time between two spikes in the heart rate) were detected and absolute high- and low-frequency spectral components were calculated using autoregressive modelling. The younger children were unable to control ventilation to achieve conditions 3 and 4; therefore, a 2 2 2 (group 2 condition) analysis of variance was used to analyse conditions 1 and 2. There were significant interactions between group and heart rate variability conditions for the low-frequency component and the ratio of low to high frequencies ( P ? 0.001). The main effect for condition showed that at 12 breaths· min -1 with no fixed tidal volume there was a significantly higher standard deviation of the RR interval, total power and high-frequency ( P ? 0.01) and lowfrequency spectral components ( P ? 0.05) than in the condition with no ventilatory control. Across the four breathing conditions for the older participants, the high-frequency spectral component was significantly higher in the condition at 6 breaths· min -1 with a fixed tidal volume than in that with no ventilatory control ( P ? 0.005); the ratio of high to low frequencies was significantly lower for the spontaneous condition than those performed at 12 breaths· min -1 ( P ? 0.001). The results provide evidence of the need for ventilatory control when assessing short-term resting heart rate variability in children.
Keywords:Boys  Breathing Control  Girls  Methods  Respiratory Sinus Arrhythmia
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